Madhavi Latha Peechara, M.D

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

2011-01382 Issued in NC

Practice address

10589 E NC Highway 97
Rocky Mount, NC 27803-9208

Phone

(252) 442-1807

Fax

(252) 442-1649

NPI assigned

Jun 19, 2008

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Granville Health SystemGroup PAC ID 1052223757, 78 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Granville Health Systems Hospital, Oxford, NC, CCN 340127

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Granville Health System

  • Certified Registered Nurse Anesthetist
  • Oxford, NC
  • NPI 1275638512
  Medicare reassignment Care Compare group NPD
• Unc Rockingham Health Care, Inc.

  • Emergency Medical Services (Emergency Medicine) Physician
  • Mayodan, NC
  • NPI 1538664099
  Medicare reassignment NPD
• Hospital Physician Services - Southeast Professional Corporation

  • Hospitalist Physician
  • Monroe, GA
  • NPI 1760410385

  NC

  Medicare reassignment NPD
• Granville Health System

  • Diagnostic Radiology Physician
  • Oxford, NC
  • NPI 1104683341
  NPD
• Granville Health System

  • Hospitalist Physician
  • Oxford, NC
  • NPI 1629252986
  NPD
• Morehead Memorial Hospital

  • Anatomic Pathology & Clinical Pathology Physician
  • Eden, NC
  • NPI 1639464605
  NPD
• Unc Rockingham Health Care, Inc.

  • Hospitalist Physician
  • Eden, NC
  • NPI 1275010043
  NPD
• Unc Rockingham Health Care, Inc.

  • General Acute Care Hospital
  • Eden, NC
  • NPI 1326048810
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Granville Health System

  • General Acute Care Hospital
  • Oxford, NC
  • NPI 1326061730
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1213833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491436800000",
    "number": "1689835936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "855 GOLD HILL RD",
            "address_2": "STE 106",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297088075",
            "telephone_number": "252-451-2700",
            "fax_number": "252-451-2702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10589 E NC HIGHWAY 97",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278039208",
            "telephone_number": "252-442-1807",
            "fax_number": "252-442-1649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEECHARA",
        "first_name": "MADHAVI",
        "middle_name": "LATHA",
        "name_prefix": "Mrs.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-19",
        "last_updated": "2017-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "BP10032241",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2011-01382",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5919404",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Peace & Harmony Home Health
• Ivan Y Peacock, MD
• Deirdra Ann Pearce, FNPBC
• Laquita Pearce
• Peds Focus
• Melissa Little Pennington, OTR/L
• Jennifer Fernandez Pensado, D.O.
• Melanie Pepon, MSCCC-SLP
• Jocelyn Perez, MS, LCMHCA
• Mark Nicholas Perlmutter, MS,MD

• Family Medicine Physician in Rocky Mount, NC
• Providers in Rocky Mount, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.